Active NPI
Faris J. Fakhoury, MD
- Neurological Surgery Physician
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME 106083
- Practice address
- 10115 W. Forest Hill Blvd.
Suite 405
Wellington, FL 33414 - Phone
- (561) 791-3070
- Fax
- (561) 791-3080
- NPI assigned
- Apr 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME 106083 | FL | Primary |
Addresses
Primary practice location
10115 W. Forest Hill Blvd.
Suite 405
Wellington, FL 33414
Mailing address
10115 W. Forest Hill Blvd.
Suite 405
Wellington, FL 33414
Phone (561) 791-3070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 791-3070
1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 655-5511
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 57 |
| Laminectomy or laminotomy (partial removal of spine bones) | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 106083 | FL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faris J. Fakhoury, MD, PA | Neurological Surgery | Current | Accepting new patients |
Locations
10115 Forest Hill Blvd
Ste 405
West Palm Beach, FL 33414
Phone (561) 791-3070
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
Interoperability endpoints
- ffakhoury19747@jupitermedicalcenter.direct-ci.com
- https://fhir4.healow.com/fhir/r4/IDFJBA/Endpoint/IDFJBA
- https://fhir4.healow.com/fhir/r4/IDFJBA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Wellington, FL
- NPI 1508112202
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba Wellington Regional Medical Center
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1730352535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10115 W. FOREST HILL BLVD.",
"address_2": "SUITE 405",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "33414",
"telephone_number": "561-791-3070",
"fax_number": "561-791-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10115 W. FOREST HILL BLVD.",
"address_2": "SUITE 405",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "33414",
"telephone_number": "561-791-3070",
"fax_number": "561-791-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHOURY",
"first_name": "FARIS",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-12",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME 106083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.